Individual
MS. LISA MICHELLE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3230 N 41ST ST, MILWAUKEE, WI 53216-3617
(262) 661-3860
Mailing address
3230 N 41ST ST, MILWAUKEE, WI 53216-3617
(262) 661-3860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123491
WI
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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